Therapists in Cape Coral, FL
Jessica Brooks
MS, LMHC
Verified Verified
Cape Coral, FL 33904
Not accepting new clients
Not Currently Accepting New Clients. Hi, I'm Jessica, as a trauma therapist I know all too well how life can throw curve balls causing unwanted distress. Whether it is past experiences impacting us or current stressors, it can feel like we can’t ever catch a break. I believe in cultivating a healing setting that promotes growth and restores confidence within the individual. I have worked with many clients who have experienced an array of life-altering events including childhood trauma, human trafficking, domestic violence, sexual abuse as well as struggled with self-esteem, codependency, anxiety, and more.
Not Currently Accepting New Clients. Hi, I'm Jessica, as a trauma therapist I know all too well how life can throw curve balls causing unwanted distress. Whether it is past experiences impacting us or current stressors, it can feel like we can’t ever catch a break. I believe in cultivating a healing setting that promotes growth and restores confidence within the individual. I have worked with many clients who have experienced an array of life-altering events including childhood trauma, human trafficking, domestic violence, sexual abuse as well as struggled with self-esteem, codependency, anxiety, and more.
Dr. Abrielle D Conway
Psychologist, PsyD
Verified Verified
1 Endorsed
Cape Coral, FL 33990 (Online Only)
You thought it would be easy starting a family. Yet, month after month, you are faced with another failed pregnancy attempt. Perhaps you've had several losses and question the possibility of having a baby. You've tried everything and nothing is working. You feel helpless, hopeless, and lost. You've never felt such grief or betrayal by your own body. Perhaps you were able to have a healthy baby. Yet, somehow, nothing about your birth experience went as planned. Now, you're left feeling betrayed, hurt, and maybe scared of having another baby. Situations like these can shake our world and our faith. Please know that you are not alone.
You thought it would be easy starting a family. Yet, month after month, you are faced with another failed pregnancy attempt. Perhaps you've had several losses and question the possibility of having a baby. You've tried everything and nothing is working. You feel helpless, hopeless, and lost. You've never felt such grief or betrayal by your own body. Perhaps you were able to have a healthy baby. Yet, somehow, nothing about your birth experience went as planned. Now, you're left feeling betrayed, hurt, and maybe scared of having another baby. Situations like these can shake our world and our faith. Please know that you are not alone.
Chemenda S Sawyer
Counselor, LMCH
Verified Verified
3 Endorsed
Cape Coral, FL 33990
Hello, I am Chemenda Sawyer. I am a licensed mental health therapist. Choosing to seek counseling can be difficult and overwhelming. Not to mention intimidating. I want to reassure you I provide support and guidance without judgment. I am committed to providing a safe space that facilitates growth and development. I empower my clients to change and confront their negative self-talk and self-doubt; in a non-judgmental, empathetic, hopeful way. It is okay to ask for help.
Hello, I am Chemenda Sawyer. I am a licensed mental health therapist. Choosing to seek counseling can be difficult and overwhelming. Not to mention intimidating. I want to reassure you I provide support and guidance without judgment. I am committed to providing a safe space that facilitates growth and development. I empower my clients to change and confront their negative self-talk and self-doubt; in a non-judgmental, empathetic, hopeful way. It is okay to ask for help.
Constance A Stegall
Marriage & Family Therapist, MS, LMFT
Verified Verified
Cape Coral, FL 33904
Many people struggle with issues in their lives and can benefit from meeting with a trained professional. I help my clients identify problems and work toward a solution. Most problems can be solved with proper help and early treatment, which keeps small problems from becoming large ones that then seem unsolvable. I believe that each individual is unique, regardless if the issues are the same they are still different. Because of this belief, I provide an eclectic approach to therapy matching each individual needs with a specific therapuetic approach. If applicable and the client is interested hypno-therapy is available.
Many people struggle with issues in their lives and can benefit from meeting with a trained professional. I help my clients identify problems and work toward a solution. Most problems can be solved with proper help and early treatment, which keeps small problems from becoming large ones that then seem unsolvable. I believe that each individual is unique, regardless if the issues are the same they are still different. Because of this belief, I provide an eclectic approach to therapy matching each individual needs with a specific therapuetic approach. If applicable and the client is interested hypno-therapy is available.
Positive Progress Counseling Associates, Inc
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
3 Endorsed
Cape Coral, FL 33904
Now Accepting New Clients. Often in life, we go through challenges and losses which are overwhelming and wear us down. As a result, we experience painful emotions such as depression, anxiety, loneliness, anger, and resentments. We can feel stuck and unsure of how to move forward. There is hope. Having someone you trust who will listen objectively and guide you is very important in the healing process. I provide the practical feedback, support, and tools needed to create personal growth and lasting change. You'll find I am very easy to talk to, non-judgmental, and knowledgeable.
Now Accepting New Clients. Often in life, we go through challenges and losses which are overwhelming and wear us down. As a result, we experience painful emotions such as depression, anxiety, loneliness, anger, and resentments. We can feel stuck and unsure of how to move forward. There is hope. Having someone you trust who will listen objectively and guide you is very important in the healing process. I provide the practical feedback, support, and tools needed to create personal growth and lasting change. You'll find I am very easy to talk to, non-judgmental, and knowledgeable.
Jessica Barreto
LMHC
Verified Verified
2 Endorsed
Cape Coral, FL 33991 (Online Only)
Se ofrece Psicoterapia en Español! You are feeling worried or depressed, or just tired of the everyday routine and desiring more in life? Or do you worry about your son or daughter’s anxiety, depression, pessimism, or their behaviors out of control? Or as a parent do you feel lost, exhausted, or alone? As humans big or small, we all go through challenging times, we all experience sadness, worry, and stress. However, there are times that we might feel too stuck, too lost, and too overwhelmed to do anything. Life doesn’t have to stay this way. I can help you turn things around and move toward living your absolute best life ever!
Se ofrece Psicoterapia en Español! You are feeling worried or depressed, or just tired of the everyday routine and desiring more in life? Or do you worry about your son or daughter’s anxiety, depression, pessimism, or their behaviors out of control? Or as a parent do you feel lost, exhausted, or alone? As humans big or small, we all go through challenging times, we all experience sadness, worry, and stress. However, there are times that we might feel too stuck, too lost, and too overwhelmed to do anything. Life doesn’t have to stay this way. I can help you turn things around and move toward living your absolute best life ever!
Seth Monaco
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
8 Endorsed
Cape Coral, FL 33904 (Online Only)
*ACCEPTING NEW CLIENTS* *ACCEPTS INSURANCES* I can help you obtain motivation when struggling with balance in your life by helping you find Simplicity. Simplicity doesn't eliminate the complexities of life but allows you to develop focus on what's important. I can help you ruffle through feelings of stress, anxiety, depression and inadequacy to discover the joy of living life with direction, forgiveness, and peace. You have the perfect solution to your circumstance and simply need assistance sorting out the truth from a mountain of lies. Let's find simple solutions so you can live a happier life.
*ACCEPTING NEW CLIENTS* *ACCEPTS INSURANCES* I can help you obtain motivation when struggling with balance in your life by helping you find Simplicity. Simplicity doesn't eliminate the complexities of life but allows you to develop focus on what's important. I can help you ruffle through feelings of stress, anxiety, depression and inadequacy to discover the joy of living life with direction, forgiveness, and peace. You have the perfect solution to your circumstance and simply need assistance sorting out the truth from a mountain of lies. Let's find simple solutions so you can live a happier life.
Kimberly Anderson
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
Cape Coral, FL 33904 (Online Only)
Have you spent much time thinking about different ways to find contentment? I have always felt that life was intended to be filled with enjoyable, memorable moments, where we live our life with a sense of ease, filled with good health, and amazing, safe relationships. However, as a participant of life, we all know that this can be a challenge to accomplish at times! We are often stressed or anxious about meeting our goals and/or the expectations of others. We have complicated relationships with our partners, families, and friends. We want to live life a certain way but are often faced with roadblocks that prevent us from doing so.
Have you spent much time thinking about different ways to find contentment? I have always felt that life was intended to be filled with enjoyable, memorable moments, where we live our life with a sense of ease, filled with good health, and amazing, safe relationships. However, as a participant of life, we all know that this can be a challenge to accomplish at times! We are often stressed or anxious about meeting our goals and/or the expectations of others. We have complicated relationships with our partners, families, and friends. We want to live life a certain way but are often faced with roadblocks that prevent us from doing so.
Christopher Jakub
Counselor, LMHC, Q Sup, LPCC
Verified Verified
Cape Coral, FL 33909
I am uniquely qualified to assist anyone with PTSD symptoms or traumatic experiences. I provide counseling to military personnel, first responders and others that have suffered a trauma and offer a place of trust & mutual respect in which to talk. I also specialize in clients dealing with sexual addiction. I am a former police officer forced to retire after 21 years when an on-the-job injury made it impossible for me to continue working. Before retiring, I joined the Critical Incident Stress Management Team where I've continued to counsel first responders for nearly 20 years now. I am also a qualified supervisor in the State of FL.
I am uniquely qualified to assist anyone with PTSD symptoms or traumatic experiences. I provide counseling to military personnel, first responders and others that have suffered a trauma and offer a place of trust & mutual respect in which to talk. I also specialize in clients dealing with sexual addiction. I am a former police officer forced to retire after 21 years when an on-the-job injury made it impossible for me to continue working. Before retiring, I joined the Critical Incident Stress Management Team where I've continued to counsel first responders for nearly 20 years now. I am also a qualified supervisor in the State of FL.
Kristi Newhouse
Clinical Social Work/Therapist, LCSW
Verified Verified
Cape Coral, FL 33904
"Helping to make it easier to take the next step..." is the motto for my individual practice. Although it is simple, it depicts the value and importance of the relationship shared between therapist and client. I believe that the decision to move forward in achieving personal peace is fundamental and is accomplished by a collaborative effort. I am here to assist you in becoming self-aware, confident, and stronger than you may have been yesterday. As a LCSW with over 15 yrs experience, I have helped children, adolescents, adults, couples & families successfully overcome their challenges so they may return to a happier and peaceful lifestyle.
"Helping to make it easier to take the next step..." is the motto for my individual practice. Although it is simple, it depicts the value and importance of the relationship shared between therapist and client. I believe that the decision to move forward in achieving personal peace is fundamental and is accomplished by a collaborative effort. I am here to assist you in becoming self-aware, confident, and stronger than you may have been yesterday. As a LCSW with over 15 yrs experience, I have helped children, adolescents, adults, couples & families successfully overcome their challenges so they may return to a happier and peaceful lifestyle.
Woolley Counseling, LLC
Clinical Social Work/Therapist, LCSW, LADAC
Verified Verified
Cape Coral, FL 33904 (Online Only)
Waitlist for new clients
Forty years ago, I was trained as a Holistic Social Worker. I have worked across the America's with all age groups and numerous cultures. It is important to me to offer you person-centered communication to support you strengthening your own motivation to change. No one knows you like you do! There are many healing traditions out there and I will honor you and your choices. My approach to counseling combines cognitive (thought) and somatic (body) techniques. I specialize in working with stress and trauma. We all have different responses to stress and trauma.
Forty years ago, I was trained as a Holistic Social Worker. I have worked across the America's with all age groups and numerous cultures. It is important to me to offer you person-centered communication to support you strengthening your own motivation to change. No one knows you like you do! There are many healing traditions out there and I will honor you and your choices. My approach to counseling combines cognitive (thought) and somatic (body) techniques. I specialize in working with stress and trauma. We all have different responses to stress and trauma.
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Kathryn Strack
Counselor, LMHC
Verified Verified
Cape Coral, FL 33993 (Online Only)
Hi! I’m Kathryn! Are you a struggling teen, or parent of a struggling teen? Life as a teenager is not easy! And todays issues of school, pandemic, and social media make things so much more complicated! I love working with teenagers!
Hi! I’m Kathryn! Are you a struggling teen, or parent of a struggling teen? Life as a teenager is not easy! And todays issues of school, pandemic, and social media make things so much more complicated! I love working with teenagers!
Donna San Salvador
Counselor, MA, NCC, LMHC
Verified Verified
Cape Coral, FL 33990 (Online Only)
I have experience working with individuals (adults and adolescents), couples, and families. I am an EMDR Trained Therapist, specifically designed for trauma treatment! I assist clients having issues with anxiety, depression, gender dysphoria, substance abuse, anger management, relationship conflict, and grief. I understand that each client is unique and work with them to find the best way to achieve their goals, and thoroughly explore all treatment suggestions. Choosing counseling is usually a decision made after the client has explored other methods of resolving the issue; the goal is to find the best solution together as quickly as possible.
I have experience working with individuals (adults and adolescents), couples, and families. I am an EMDR Trained Therapist, specifically designed for trauma treatment! I assist clients having issues with anxiety, depression, gender dysphoria, substance abuse, anger management, relationship conflict, and grief. I understand that each client is unique and work with them to find the best way to achieve their goals, and thoroughly explore all treatment suggestions. Choosing counseling is usually a decision made after the client has explored other methods of resolving the issue; the goal is to find the best solution together as quickly as possible.
Marlea Major
Counselor, LMHC, MS
Verified Verified
2 Endorsed
Cape Coral, FL 33991 (Online Only)
Hello, my name is Marlea Major, I am a Licensed Mental Health Counselor with 22 years of experience working within the first responder and military agencies. Working within the first responder field has provided me the insight what our brave men and women endure each day and the emotional trauma that can occur within these challenging careers. I work with Adults and Young Adults who are experiencing increased anxiety, PTSD, parenting problems, career problems, addictions, depression; and other different forms of trauma to include physical or emotional abuse.
Hello, my name is Marlea Major, I am a Licensed Mental Health Counselor with 22 years of experience working within the first responder and military agencies. Working within the first responder field has provided me the insight what our brave men and women endure each day and the emotional trauma that can occur within these challenging careers. I work with Adults and Young Adults who are experiencing increased anxiety, PTSD, parenting problems, career problems, addictions, depression; and other different forms of trauma to include physical or emotional abuse.
Julie Jakobi
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Cape Coral, FL 33914 (Online Only)
My main focus is working with clients and/or family who are struggling with Borderline Personality Disorder. I utilize DBT and EMDR, among other approaches, to help the client find a way to regulate their symptoms and utilize new ways of approaching issues. I believe in education about what is going on in the mind and body so the client can leave my office with information and skills that can be utilized on a daily basis in order to achieve real change.
My main focus is working with clients and/or family who are struggling with Borderline Personality Disorder. I utilize DBT and EMDR, among other approaches, to help the client find a way to regulate their symptoms and utilize new ways of approaching issues. I believe in education about what is going on in the mind and body so the client can leave my office with information and skills that can be utilized on a daily basis in order to achieve real change.
Dr. Lisandra Mendoza (Licensed Psychologist)
Psychologist, PsyD
Verified Verified
5 Endorsed
Cape Coral, FL 33991 (Online Only)
You might feel unable to experience joy or persistent anxiety, fear, and anger. Stuck in the past, you can’t see a bright future. You might be straddling two cultures—the one you left behind and the one you are trying to embrace. Continued stress, hardship, or trauma could take a toll on your health, resulting in sleep issues, concentration problems, and chronic illnesses. Psychotherapy promotes wellness to improve mental and physical health. Building resilience is essential to restore self-agency. It would be a pleasure to take you on a journey to self-actualization!
You might feel unable to experience joy or persistent anxiety, fear, and anger. Stuck in the past, you can’t see a bright future. You might be straddling two cultures—the one you left behind and the one you are trying to embrace. Continued stress, hardship, or trauma could take a toll on your health, resulting in sleep issues, concentration problems, and chronic illnesses. Psychotherapy promotes wellness to improve mental and physical health. Building resilience is essential to restore self-agency. It would be a pleasure to take you on a journey to self-actualization!
Love Singleton
Clinical Social Work/Therapist, LISW-S, LCSW, LISW-CP
Verified Verified
2 Endorsed
Cape Coral, FL 33990 (Online Only)
There are times when you're just exhausted from all that life has thrown at you. Or, maybe you're battling worries that seem to be way too overwhelming. Sometimes, you feel like you just need someone to listen. If this sounds like things you've been facing, I would like the opportunity to aid you in building on your strengths and growing the decision making skills that may help you recover from the battles you've been encountering.
There are times when you're just exhausted from all that life has thrown at you. Or, maybe you're battling worries that seem to be way too overwhelming. Sometimes, you feel like you just need someone to listen. If this sounds like things you've been facing, I would like the opportunity to aid you in building on your strengths and growing the decision making skills that may help you recover from the battles you've been encountering.
Dora Cario At Nourish Wellness Center
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
Cape Coral, FL 33904
I want to take this opportunity to say congratulations for taking the first step towards your mental, emotional, physical, and spiritual well-being. It is a huge commitment, and it is brave of you to want to invest the time and effort in yourself and work towards whole-being healing. You are invited to spend valuable time caring and nurturing yourself. At Nourish Wellness Center the priority will always be ensuring you are working on what is relevant and important to you. You can schedule a free 10 minute Introduction Call at nourishwellnesscenter.com.
I want to take this opportunity to say congratulations for taking the first step towards your mental, emotional, physical, and spiritual well-being. It is a huge commitment, and it is brave of you to want to invest the time and effort in yourself and work towards whole-being healing. You are invited to spend valuable time caring and nurturing yourself. At Nourish Wellness Center the priority will always be ensuring you are working on what is relevant and important to you. You can schedule a free 10 minute Introduction Call at nourishwellnesscenter.com.
Amanda Bard Counseling Services, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Cape Coral, FL 33990 (Online Only)
Now accepting new clients! Schedule directly with me on my Tava website! Every person is unique, just as our struggles are. Sometimes, having an alternative outlet to open up and share the things that are troubling us, or that we find too difficult to share with those that we are closest to is helpful. Talk therapy provides an outlet process our thoughts, feelings, and emotions, and utilize some of the tools in our coping skills toolbox that may have been forgotten; or, to learn new ones. There is not a "one size fits all" approach to therapy. You are the leader on this journey! Short- and long-term options are available.
Now accepting new clients! Schedule directly with me on my Tava website! Every person is unique, just as our struggles are. Sometimes, having an alternative outlet to open up and share the things that are troubling us, or that we find too difficult to share with those that we are closest to is helpful. Talk therapy provides an outlet process our thoughts, feelings, and emotions, and utilize some of the tools in our coping skills toolbox that may have been forgotten; or, to learn new ones. There is not a "one size fits all" approach to therapy. You are the leader on this journey! Short- and long-term options are available.
Candice Mitchell
Counselor, MA, LMHC, CCTP
Verified Verified
Cape Coral, FL 33990 (Online Only)
Are you grappling with past traumas, struggling with persistent memories and physical sensations that won't let go? Trauma can feel like wandering in the dark, affecting your daily life. While anxiety and stress may weigh heavy, you deserve peace and stability. You're ready to address trauma, anxiety, and depression, and reclaim your strength. I want you to know that you have the resilience within you to heal and that you are not alone. I'm here to provide trauma-informed care within a safe and trusting therapeutic relationship.
Are you grappling with past traumas, struggling with persistent memories and physical sensations that won't let go? Trauma can feel like wandering in the dark, affecting your daily life. While anxiety and stress may weigh heavy, you deserve peace and stability. You're ready to address trauma, anxiety, and depression, and reclaim your strength. I want you to know that you have the resilience within you to heal and that you are not alone. I'm here to provide trauma-informed care within a safe and trusting therapeutic relationship.
See more therapy options for Cape Coral
How does your Therapist compare?
Number of Therapists in Cape Coral, FL
100+
Average cost per session
$125
Therapists in Cape Coral, FL who prioritize treating:
93% | Anxiety |
91% | Depression |
84% | Self Esteem |
83% | Coping Skills |
78% | Relationship Issues |
73% | Trauma and PTSD |
70% | Stress |
Average years in practice
12 Years
Top 3 insurances accepted
80% | Aetna |
79% | Cigna and Evernorth |
74% | UnitedHealthcare UHC | UBH |
How Therapists in Cape Coral, FL see their clients
68% | In Person and Online | |
32% | Online Only |
Gender breakdown
86% | Female | |
14% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Cape Coral?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.